Guest guest Posted November 22, 2004 Report Share Posted November 22, 2004 Hi all I received a reply from Dr. Ponseti today. The only thing I am confused about is the 40-50 degree rotation of the shoes. Does he mean just for now and then work our way up to 70 degrees? Has anyone had the shoes not at 70 degrees? Any way here is the response: November 22, 2004 Certainly Tommy has an atypical, complex clubfoot deformity. The ankle dorsiflexion is just to neutral. The feet are short and stubby. You have to tighten the middle strap very tightly so the heel will come down as far as possible. Your son's feet are difficult to treat, but you are in good hands. He may need 2 or 3 more plaster casts to further dorsiflex the foot. The shoes on the bar should be turned out to only 40-50 degrees. Perhaps they are turned out too much now. You will see the degrees indicated and can adjust the rotation by removing the screw and inserting it in the proper hole. I.V. Ponseti, M.D. Quote Link to comment Share on other sites More sharing options...
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